Active NPI
Carlotta Hample, MD
- Pediatric Gastroenterology Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 25MA09782200
- Practice address
- 3 Cooper PLZ RM 200
Camden, NJ 08103-1438 - Phone
- (856) 342-2001
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 207819 | NY | |
| Pediatric Gastroenterology Physician | 2080P0206X | 25MA09782200 | NJ | Primary |
Addresses
Primary practice location
3 Cooper PLZ RM 200
Camden, NJ 08103-1438
Mailing address
Lijmc - Pediatric Gastroenterology
269-01 76TH Avenue
New Hyde Park, NY 11040
Phone (718) 470-3430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, NJ, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Drexel University College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
1700 W Van Buren St
Suite 161
Chicago, IL 60612-3228
1725 W Harrison St
Suite 710
Chicago, IL 60612-3863
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09782200 | NJ | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Pediatric Gastroenterology | Current | Accepting new patients |
| Rush University Medical Group | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Cooper Pediatric Specialists, PC | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Childrens Medical Group, LLC | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1725 W Harrison St
Ste 710
Chicago, IL 60612
Phone (312) 942-5983
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
9880 Angies Way
Ste 330
Louisville, KY 40241
Phone (502) 588-2220
4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
231 E Chestnut St
Ste 0
Louisville, KY 40202
35 Michigan St NE
Ste 4150
Grand Rapids, MI 49503
Phone (616) 267-2100
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001
1 Cooper Plz
Bldg 7TH
Camden, NJ 08103
6400 Main St
Voorhees, NJ 08043
Phone (609) 751-9339
27005 76th Ave
North New Hyde Pk, NY 11040
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
584 Forest Ave
Staten Island, NY 10310
Phone (718) 226-5619
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- chample286825@direct.cooperhealth.edu
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Pediatrics Physician
- Camden, NJ
- NPI 1306867585
-
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Neonatal-Perinatal Medicine Physician
- Louisville, KY
- NPI 1144862301
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1184269425
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
Pediatric Gastroenterology
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1578633921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LIJMC - PEDIATRIC GASTROENTEROLOGY",
"address_2": "269-01 76TH AVENUE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11040",
"telephone_number": "718-470-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ RM 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPLE",
"first_name": "CARLOTTA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NY",
"license": "207819",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NJ",
"license": "25MA09782200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.